====== Cervical spine fracture surgery ======

see also [[Subaxial cervical spine injury treatment]]

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/14a2MZa9gZvcIZpQARt1Y4LNWVMERGK53VxzJylwc3P4WsKYKe/?limit=15&utm_campaign=pubmed-2&fc=20221210022721}}

Intraoperative navigation in combination with modern imaging systems leads to very high accuracy for pedicle screws. Immediate intraoperative control of K‑wires as well as screws and fracture reduction can avoid revision surgery. Image guidance can reduce radiation exposure for the surgical team
((Richter PH, Gebhard F. Einsatz von Navigation in der Traumatologie an der Wirbelsäule [Application of navigation in the fractured spine]. Oper Orthop Traumatol. 2022 Nov 28. German. doi: 10.1007/s00064-022-00790-7. Epub ahead of print. PMID: 36441223.))

===== Cervical spine fracture surgery indications =====

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Stable vertebral body fractures without the involvement of the spinal canal can also be treated conservatively with orthotic devices. Randomized controlled studies are required to develop a secure state of evidence and are currently not available
((Schnadthorst PG, Lankes C, Schulze C. Konservative Behandlung traumatisch bedingter Frakturen der Halswirbelsäule mit Orthesen – ein Review [Conservative treatment of trauma-associated fractures of the cervical spine with orthoses-A review]. Unfallchirurgie (Heidelb). 2022 Dec 5. German. doi: 10.1007/s00113-022-01261-1. Epub ahead of print. PMID: 36469100.)).